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need advice from the seasoned bfing moms ple3ase

Posted by on Aug. 19, 2011 at 2:13 PM
  • 8 Replies
So my daughter is EBF (bottles too while at work but only BM) anyway I have been told a few times by the gal that watches her and now by my sis who has been watching her for a few days both say that emily wants more to eat then the 3 oz per feeding I supply. I told them no she is only suppose to get 1 to 1.25t per hour I'm away. But they both have told be how upset she gets when that 3 oz is out. Anyway I had to see for myself and sure enough she was really pissed. She used to just get a little upset but a little distraction then she would be finen. Anyway she is about 4.5mos. So I don't know what to do? She is clearly gaining enough weight with her current feedings but now I feel bad if she truley is hungry. Any suggestions?? I just don't want to ovder feed her.
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by on Aug. 19, 2011 at 2:13 PM
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Replies (1-8):
aehanrahan
by Group Admin - Amy on Aug. 19, 2011 at 2:18 PM
The bottles need to be given slowly. Stopping every ounce to burp helps. With a bottle's faster flow, she doesn't get the signal that she is full when the bottle is empty. Slowing the feeding and giving a pacifier if she still needs to suck should help. Look for the article about bottle feeding the breastfed baby on kellymom.com.
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celestegood
by Silver Member on Aug. 19, 2011 at 2:20 PM

One to one and a half ounces is all any bf baby needs while you are gone...an hour, of course.  She will reverse cycle when she is with you.  Meaning, eat and eat and eat and eat and eat so she is getting most of her milk from the tap (ie, you). 

I have no suggestions.  They will feed her what you send.  Does she take a very low flow newborn nipple on her bottle?   Because if the flow is too fast, she may be getting the milk very fast, and that may mean that she is getting all her milk fast, and it may take her a few minutes to feel full.  They should stop her from eating mid bottle, burp her, get all the air out-then try the last half of the bottle.  That gives her time for the milk to hit her stomach and for her to feel full. 

Good luck.  I would tell them to do the stopping mid bottle thing and burping her, then do the other half. 

How many hours are you gone?  That's a question I have.  Maybe she can get less per more bottles?  Other mommas who have done this can pipe in and help you.  Good luck!

celestegood
by Silver Member on Aug. 19, 2011 at 2:22 PM

Babies should be bottle-fed:

  1. When their cues indicate hunger, rather than on a schedule.
  2. Held in an upright position; it is especially important to avoid letting the baby drink from a bottle when lying down. Such a position is associated with bottle caries and an increased frequency of ear infections. Note also that babies should be held often at times when they are not being fed, to avoid the baby being trained to eat in order to be held.
  3. With a switch from one side to the other side midway through a feed; this provides for eye stimulation and development, and thwarts the development of a side preference which could impact the breastfeeding mother.
  4. For 10-20 minutes at a time, to mimic the usual breastfeeding experience. Care providers should be encouraged to make appropriate quantities last the average length of a feeding, rather than trying to feed as much as they can in as short a time as possible. This time element is significant because the infant's system needs time to recognize satiety, long before the stomach has a chance to get over-filled.
  5. Gently, allowing the infant to draw nipple into mouth rather than pushing the nipple into the infant's mouth, so that baby controls when the feed begins. Stroke baby's lips from top to bottom with the nipple to illicit a rooting response of a wide open mouth, and then allow the baby to "accept" the nipple rather than poking it in.
  6. Consistent with a breastfed rhythm; the caregiver should encourage frequent pauses while the baby drinks from the bottle to mimic the breastfeeding mother's let-down patterns. This discourages the baby from guzzling the bottle and can mitigate nipple confusion or preference.
  7. To satiation, so that baby is not aggressively encouraged to finish the last bit of milk in the bottle by such measures as forcing the nipple into the mouth, massaging the infant's jaw or throat, or rattling the nipple around in the infant's mouth. If baby is drowsing off and releasing the bottle nipple before the bottle is empty that means baby is done; don't reawaken the baby to "finish." See Bottlefeeding tips from AskDrSears.com.

The benefits of bottle-feeding in this manner:

  1. The infant will consume a volume appropriate to their size and age, rather than over- or under-eating. This can support the working and pumping mom who then has an increased likelihood of pumping a daily volume equivalent to the baby's demand.
  2. This can minimize colic-like symptoms in the baby whose stomach is distended or over-fed.
  3. It supports the breastfeeding relationship, hopefully leading to longer durations and increased success at breastfeeding particularly for mothers who are separated from their nurslings either intermittently or recurrently.

http://kellymom.com/bf/pumping/bottle-feeding.html

collinsmommy0
by Gold Member on Aug. 19, 2011 at 3:35 PM

You are right in giving 3 oz every 3 hours or so.  Are you feeding her right before you leave?  If so, I would tell them no bottles for 2 hours after that.  I'm gone 7 am-4.  I feed DS at 5:30 am, he gets 3 oz at 8:30, 3 oz at 11, and 3 oz at 1:30/2.  He does okay with that & isn't hungry until about 4:30.  

Are they giving her 2 bottles in a row too soon?  That would stretch her tummy, making her feel more hungry.

Maybe you can try leaving 1 extra oz, so that she gets 2 2 oz bottles (2 hours apart) and 2 3 oz bottles.  DH does that with DS when he wakes up before 8 am.  I wouldn't leave any more than that.  And tell them to deal with it - after a week or so your daughter should get used to the schedule (if they are feeding her correctly & on a decent schedule now).  In a few months or so they can give her a little bit of solid food to play with after she's done with a bottle (if that's what you are choosing to do).

She's probably crying because she misses you.  DS started day care this week & what really helped is that I slept with one of his blankets.  He won't tolerate being away from the blanket at all during the day - but if he has it, he is a happy boy.  Maybe try that!

Aryn31
by on Aug. 19, 2011 at 3:42 PM
Thanks ladies. This helps for sure. We are away from eachother about 7 hours total and sh usually goes through 3 3oz bottles. I will have to go over this with the babysitters.
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FLmommy0204
by on Aug. 19, 2011 at 3:49 PM

My daughter would start crying about 30 minutes after the 3 oz, take another 1 oz and be fine for the next 3 hours or so.  So I started giving her 4 oz bottles.  Remember 1-1.25 per hour over 3 hours is between 3 and 3.75 ounces and that is AVERAGE.  Some will take less and some will take more and need may very from feed to feed.  Feel it out and do what works best for you.  I personally would try 3 1/2 ounce bottles and encourage frequent burping and double checking that the nipples aren't letting milk out too fast.  Baby could just be eating too quickly and not realizing they he/she is full. 

collinsmommy0
by Gold Member on Aug. 19, 2011 at 6:06 PM


Quoting Aryn31:

Thanks ladies. This helps for sure. We are away from eachother about 7 hours total and sh usually goes through 3 3oz bottles. I will have to go over this with the babysitters.

So leaving 9 oz is probably too much - I'm gone 9 hours and leave 9-10 oz.  You should leave more like 7-8 oz.  She may be being overfed - so that her tummy is stretched & she thinks she's hungry.

maggiemom2000
by on Aug. 19, 2011 at 9:17 PM

Some really good, detailed info on this on the Breastfeeding USA site:

https://breastfeedingusa.org/content/article/breast-versus-bottle-how-much-milk-should-baby-take

Breast Versus Bottle: How much milk should baby take?

Q: Why does my breastfed baby take at most 4 ounces (120 mL) from the bottle when my neighbor’s formula-fed baby takes 7 or 8 ounces (210-240 mL)? Am I doing something wrong?

A: You are not doing anything wrong. And in this case, more is not necessarily better. Formula-fed babies typically consume much more milk at each feeding than breastfed babies, but they are also more likely to grow into overweight children and adults.1,2 One large study (16,755 babies in Belarus) compared feeding volumes in formula-fed and breastfed babies and found that the formula-fed babies consumed 49% more milk at 1 month, 57% at 3 months, and 71% at 5 months.3 Australian research found that between 1 and 6 months of age breastfed babies consistently take on average around 3 ounces (90mL) at a feeding. (Younger babies with smaller tummies take less milk.)

Breastfed babies’ milk intake doesn’t increase from months 1 to 6 because their growth rate slows.4 As growth slows, breastfed babies continue to get bigger and heavier on about the same daily milk intake, averaging about 25 ounces (750 mL) per 24 hours.

Why do formula-fed babies drink so much more milk? There are several reasons:

The bottle flows more consistently. During the first 3 to 4 months of life, after swallowing, an inborn reflex automatically triggers suckling.5 Milk flows more consistently from the bottle than the breast (which has a natural ebb and flow due to milk ejections, or let-downs), so babies tend to consume more milk from the bottle at a feeding. Before this reflexive suckling is outgrown, babies fed by bottle are at greater risk of overfeeding.
Breastfeeding gives babies more control over milk intake. Not seeing how much milk is in the breast makes a breastfeeding mother less likely to coax her baby to continue after he’s full.3,6 As the breastfed baby grows and thrives, his mother learns to trust her baby to take what he needs from both breast and bottle and also solid foods when they are introduced later. One U.K. study found that between 6 and 12 months of age breastfeeding mothers put less pressure on their babies to eat solid foods and were more sensitive to their babies’ cues.7
More milk in the bottle means more milk consumed. In the Belarus study mentioned before, babies took more formula at feedings when their mothers offered bottles containing more than 6 ounces (180 mL).3
Mother’s milk and formula are metabolized differently. Formula-fed babies use the nutrients in formula less efficiently,8 so they may need more milk to meet their nutritional needs. Formula is also missing hormones, such as leptin and adiponectin, which help babies regulate appetite and energy metabolism.9,10 Even babies’ sleep metabolism is affected, with formula-fed babies burning more calories during sleep than breastfed babies.11

Q: If my baby takes more milk from the bottle than I can express at one sitting, does that mean my milk production is low?

A: See the previous answer. Babies commonly take more milk from the bottle than they do from the breast. The fast, consistent milk flow of the bottle makes overfeeding more likely. So if your baby takes more milk from the bottle than you express, by itself this is not an indicator of low milk production.

To reduce the amount of expressed milk needed and to decrease the risk of overfeeding, take steps to slow milk flow during bottle-feeding:

Use the slowest flow nipple/teat the baby will accept.
Suggest the feeder try holding the baby in a more upright position with the bottle horizontal to slow flow and help the baby feel full on less milk.
Short breaks during bottle-feeding can also help baby “realize” he’s full before he takes more milk than needed.

Used with Permission. Article originally appeared on the website Breastfeeding Reporter (http://www.nancymohrbacher.com/), where you can find complete article licensing information.

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